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01 Family Medicine > Dr. Pickles' FM Review > Flashcards

Dr. Pickles' FM Review Flashcards

USPSTF Grade A and B Guidelines (last update 1/22/23)

1
Q

USPSTF guideline: AAA Screening

A

Men 65-75 who have smoked

Ultrasound one time

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2
Q

USPSTF guideline: Diabetes Screening

A

Adults 35-70 overweight (BMI >25) or obese (BMI >30)

If positive offer or refer for multicomponent behavioral intervention for weight loss

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3
Q

USPSTF guideline: Aspirin Use

A

Ages 40-59 with a 10% or greater 10 year CVD risk

Grade C

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4
Q

USPSTF guideline: BRCA-Related Cancer Risk

A

Familial risk tool (women with a personal or family history of breast, ovarian, tubal or peritoneal cancer or ancestor with BRCA1/2 mutations)

If tool is positive send to genetic counseling, then genetic testing

Offer risk reducing medications (tamoxifen, raloxifene or aromatase inhibitors) to women (35 years and older) at increased risk for breast cancer and low risk for adverse medication effects

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5
Q

USPSTF guideline: Breast Cancer Screening

A

Mammogram
Ages 50-74 q2 years

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6
Q

USPSTF guideline: Cervical Cancer Screening

A

21-29:
Cytology (PAP) q 3 years

30-65:
HPV testing alone or HPV testing and cytology q 5 years
or cytology alone q 3 years

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7
Q

USPSTF guideline: Colorectal Cancer Screening

A

Ages 45-75

FIT q1 year
FIT DNA q1-3 years
Flex sigmoidoscopy q 5 years
Flex sig q10 years with q1 year FIT tests
Colonoscopy q 10 years

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8
Q

USPSTF guideline: Depression screening (adults)

A

All adults, pregnant and postpartum populations
Need system to diagnose, treat and follow up

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9
Q

USPSTF guideline: Depression Screening (Kids/Teens)

A

Ages 12-18
Screen for MDD
Need system to diagnose, treat and follow up

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10
Q

USPSTF guideline: Fall Prevention

A

65 yrs and older

Exercise interventions

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11
Q

USPSTF guideline: Prevention of Neural Tube defects

A

Folic acid (0.4 -0.8 mg) for all reproductive age women

4mg if history of child with NTDs or on folic acid antagonists

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12
Q

USPSTF guideline: Gestational Diabetes screening

A

24-28 weeks with 50 g oral glucose

Positive if >135 or > 140 mg/dL

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13
Q

USPSTF guideline: Chlamydia and Gonorrhea screening in women

A

Sexually active women age 24 and younger.

Women 25 and up, screen those at increased risk

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14
Q

USPSTF guideline: Hepatitis B Screening

A

Adolescents and adults at increased risk

Pregnant women at their first prenatal visit

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15
Q

USPSTF guideline: Hepatitis C Screening

A

Ages 18-79

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16
Q

USPSTF guideline: HIV Screening

A

All pregnant women (1st and 3rd trimesters)

Ages 15-65 or those at increased risk

17
Q

USPSTF guideline: High Blood Pressure Screening

A

Adults 18 and older

-Ambulatory Blood Pressure Monitoring is preferred

Per AAP, kids 3 and older

18
Q

USPSTF guideline: Asymptomatic Bacteriuria screening

A

Screen with urine culture for pregnant women

If positive then Keflex x 7 days , if recurrent then start suppression

19
Q

USPSTF guideline: Screening for Intimate partner violence

A

Screen in women of reproductive age

If positive refer to support services

20
Q

USPSTF guideline: Latent TB Screening

A

Screen for LTBI in at risk patients

Risks: Born or resided in countries with increased TB prevalence, lived in high risk setting like homeless shelters or jail, immunosuppressed

21
Q

USPSTF guideline: Preeclampsia prevention

A

Screen with blood pressure at each visit

Aspirin (81 mg daily), starting after 12 weeks gestation in women at high risk for preeclampsia

22
Q

USPSTF guideline for Lung Cancer Screening

A

Low dose CT scan yearly

50-80 with 20 pack year hx and currently smoke or quit within the past 15 years.

23
Q

USPSTF guideline: Obesity screening in kids and teens

A

Kids 6 years and older

BMI 85-95%ile overweight, above 95%ile obese (BMI percentile age and gender)

Offer/refer to intensive behavioral interventions to improve weight status

24
Q

USPSTF guideline: Ocular prophylaxis for Gonococcal Ophthalmia Neonatorum

A

Use prophylactic ocular topical medication for all newborns

25
Q

USPSTF guideline: Osteoporosis Screening

A

Women >65 years

Women <65 if increased risk (FRAX score)

26
Q

USPSTF guideline for Prevention of HIV

A

Offer preexposure prophylaxis to persons at high risk

27
Q

USPSTF guideline: Rh(D) Incompatibility Screening

A

Rh screen at first visit

For Rh-neg women, repeat screen at 24-28 weeks
-if negative give immunoglobulin then again within 72 hour after delivery if Rh-positive newborn

28
Q

USPSTF guideline: Skin Cancer Prevention

A

Counsel fair skinned people, 6 months to 24 years to minimize UV exposure

29
Q

USPSTF guideline: Statin Use for the Primary Prevention of CVD in adults

A

1) ages 40-75
2) 1 or more CVD risk factors (dyslipidemia, HTN, DM, smoking)
3) 10 year ASCVD risk 10% or greater

30
Q

USPSTF guideline for Syphilis Screening

A

Screen all pregnant women and anyone at increased risk

Grade B

31
Q

USPSTF guideline: Vision Screening

A

At least once in all kids ages 3-5 years old

32
Q

Obesity medication and bariatric surgery criteria

A

Meds
BMI >27 with comorbidity
BMI > 30
Also Offer/refer intensive, multicomponet behavioral interventions

Bariatric surgery
BMI >30 with comorbidity
BMI >40

33
Q

USPSTF guideline: Thyroid Screening

A

Do not screen nonpregnant, asymptomatic adults

34
Q

USPSTF guideline: Prostate Cancer Screening

A

Men 55 to 69 years: shared decision making

Men 70+ do not screen

35
Q

What are the high and moderate risk factors for Preeclampsia?

A

Risks:
High: hx of pre-e, multifetal gestation, chronic HTN, T1 or T2 DM, Renal disease, Autoimmune (SLE, antiphospholipid)

Moderate: nulliparity, obesity, family hx of pre-e, >35 years, AA, low SES, SGA, low birth weight, >10 years between pregnancies, previous adverse outcomes

36
Q

USPSTF guideline for screening for anxiety in children and adolescents

A

Screen for anxiety in ages 8-18

Grade B

01 Family Medicine (16 decks)

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